Elnur Nurullaev, Pediatric Surgeon
Hernias in a child.
What do I need to know and what should I do?

A hernia is a condition in which internal organs or tissues extend beyond their natural anatomical shell through a weak spot in the muscle wall.

Hernias can manifest in various forms in children, and their diagnosis and treatment require a careful approach.

In this article, we will look at the main types of hernias in children, their symptoms, diagnosis, and treatment methods.

Types of hernias in children

1. Inguinal hernia: This is the most common form of hernia in newborns and young children. It occurs when part of the intestine or adipose tissue exits through a weak spot in the inguinal canal. Inguinal hernias are more common in boys.

2. Umbilical hernia: This hernia occurs when part of the intestine exits through a hole in the abdominal muscles in the navel area. Umbilical hernias are quite common in newborns and are usually harmless, often closing on their own by 2-3 years of age.

3. Postoperative hernias: These hernias can occur as a result of surgery when muscles do not heal properly, leaving a weak spot.

4. Oblique and rectus hernias: These terms are used to describe differences in the location and directions of tissue sprouting through the muscle walls.

Symptoms of a hernia

The symptoms of a hernia can vary depending on its type and size:

- Visible bulges: The most obvious sign is a bulge in the abdomen or groin area, which becomes more pronounced when coughing or exerting physical effort.
- Pain and discomfort: The child may complain of pain, especially during physical activity or when the protrusion is pinched.
- Digestive disorders: In some cases, a hernia may cause nausea, vomiting, or constipation.


Hernia diagnosis


If you notice any symptoms characteristic of a hernia, it is important to consult a doctor. A surgeon or pediatrician will conduct a medical examination and, if necessary, prescribe additional tests, such as ultrasound, to clarify the condition.


Hernia Treatment


Treatment of a hernia in children depends on its size, type, and the presence of complications:

1. Observation: In the case of an umbilical hernia, the doctor may recommend simply monitoring the condition, especially if it does not cause discomfort.

2. Surgery: If a hernia causes pain or there is a risk of injury, surgical intervention may be required. Surgery is usually safe and effective. It usually involves putting organs back in place and strengthening the muscle wall.

3. Supportive measures: In some cases, especially with severe cough or constipation, it may be recommended to provide support with special bandages.


What should parents do?


- Seek medical help: At the first sign of a hernia, do not delay a visit to the doctor.
- Keep an eye on the symptoms: Pay attention to any changes in the child's condition and inform the doctor about them.
- Follow the doctor's recommendations: If treatment is prescribed, follow the doctor's recommendations.


Conclusion

Hernias in children are a common condition that requires attention and, in some cases, surgery. Timely diagnosis and treatment can prevent complications and ensure the healthy development of your child. If you find signs of a hernia, do not hesitate to contact specialists — this is the best way to protect your baby's health.
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